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Student performed different plays and tableaus focusing on disaster management.

Children are change agents and providing them with training to enhance their knowledge and skills is essential to help them grow and develop. Similarly, children living in disaster prone areas, need to be trained on disaster risk reduction (DRR) methods to make them resilient towards the adverse impact of disasters.

Frequent occurrence of onset disasters make children vulnerable as they are adversely affected and their lives disturbed. In such situations a lack of DRR awareness makes things even worse.  Under Community World Service Asia’s project, supported by Christian Aid in Thatta, collaboration is done with schools to develop a platform for young children to enhance their knowledge and skills on DRR through various trainings and activities, making  them more resilient to future disasters.

The Sendai Framework for Disaster Risk Reduction highlighted the importance of education and public awareness being critical in promoting a culture of resilience at all levels.  Furthermore, commitments were made at the second session of Global Platform for DRR (2009) to provide safer schools by including DRR in all school curricula. Considering the importance of public awareness, a DRR Carnival, organized at the Government Boys Public School (GPPS) in Main Sindhi Chandia, Sujawal, was organized to provide an opportunity to young children to present their DRR work. A Mobile Knowledge & Resource Center (MKRC) truck and DRR models were displayed at the exhibit, with brief sessions on simulation models carried out live.

The main purpose of the event, celebrated on 25th May, 2017, was to engage teachers and students from different schools to hear about their experiences; how they implemented DRR in their schools and how it contributed to making their schools safer. A student of class 4, Iffat Mehmood Khattati, opened the event by the recitation of the Holy Quran with Sindhi translation. She recited Surah Feeal, a surah focused on disaster.

Nisar Ahmed Memon, Head Master GBPS Main Sindhi Chandia, welcomed all the participants on behalf of the school administration. Nisar Memon highlighted the theme of the event saying,

“In partnership with Community World Service Asia, I am pleased to announce that we have successfully conducted School Safety Trainings in various schools in Sujawal. We have a long disaster history in our area. Therefore, we must prepare ourselves, our families and our communities to tackle these disasters to reduce our loss.”

Students of GBPS Main Sindhi Chandia performed a welcome tableau for the guests, teachers and students at the event. The play was focused on a Sindhi Legend singer, late Jala Chandio. The purpose of the performance was to pay respect and honor to the Sindhi Traditions.

Community World Service Asia staff appreciated GBPS Amin Sindhi Chandia School for organizing this impactful event and reiterated the importance of training children on DRR as

“students today are the leaders and change-makers of tomorrow.”

After the students’ performance, Naseem Khuskh, a teacher at one of the schools,  recalled the tragic memories of the Kashmir Earthquake (2005) in which the death rate of children was very high.

“As a teacher, I feel that students require the most attention at times of disasters. They suffer socially and psychologically. DRR Trainings are preparing students for emergency situations, making them more confident and  prepared during disasters.”

Khud Bux Behrani, Deputy Director Social Welfare, Thatta, also shared his views speaking at the carnival,

“In my experience, I have witnessed that children are the most vulnerable in under-developed societies. Government schools in our area are poorly established with no mechanism of evacuation at times of disasters. Therefore, I encourage organizations and school administrations to extend the role of DRR to build resilient societies and reduce losses and damages.”

Tufail Ahmed Temro, Taluka Education Officer, added to Behrani’s statement,

“Learning by doing; if students are involved in such trainings and drill activities, they will learn faster. There is a lack of extra-curriculum activities to supplement academic learning. I would request the  Community World Service Asia team to bring more such programs and trainings to our schools to improve the quality of education here.”

“Our team of volunteers have taken a lead in delivering awareness sessions on Malaria and its preventive measures in our area of Kheeral, Bijori,”

taking the opportunity to share information at a public platform,  Muhammad Hanif Walhro, President LSO Kheeral, talked about the initiative of LSOs taken in the context of DRR. He added that volunteers from the communities have been trained on rescue and response for future disasters.

A total of five hundred guests, including students and teachers from various schools, government officials and other stakeholders, actively participated at the event.  Two display stalls were set up which exhibited different equipment used at times of various disasters. DRR themed paintings made by students of GBPS Main Sindhi Chandia, Sujawal were also on display. Guests at the carnival were also shown the Mobile Knowledge & Resource Center (MKRC) and were oriented on the different kinds of disasters and the effects they leave behind in communities.

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Kitchen gardening activities conducted under the Sustainable Farming project in Badin aim to improve food security and household nutrition for disaster affected communities. Mirzadi, wife of Photo Khan and mother of eight children, belonging to Abdul Karim Leghari village in Badin, is one of the most active participants of the kitchen gardening trainings in Badin.

Six of Mirzadi’s children are married while she lives with two of her unmarried sons, who work for daily wages as labourers and sharecroppers in the area, supporting their mother and their very old and unwell father.  The family does not own any land and relies solely on the income of the two young boys.

Mirzadi had no experience or expertise of growing vegetables before the kitchen gardening training. Earlier, she purchased vegetables for cooking from the local markets. This was expensive for her as she had to travel a distance to reach the markets and then buy the vegetables at whatever rates were offered. Considering the menial income of her sons, this was difficult to afford very often.

At the kitchen gardening trainings, Mirzadi learnt basic gardening skills and the knowledge to grow her own vegetables in her own little garden. Mirzadi found the “nutrition session” most interesting as it highlighted the importance of providing her family with nutritious food by consuming fresh and chemical free vegetables.

Upon the completion of the training, Mirzadi prepared a patch of land near her house to sow the seeds she received after the training. Soon after the seeds cultivated, producing fresh nutritious vegetables, Mirzadi observed a substantial decrease in her household, especially kitchen, expenses. This saving allowed her to keep the money for other domestic matters and healthcare needs. Mirzadi is successfully growing spinach, carrots, radish, garlic, coriander and tomatoes in her garden.

“My family is regularly consuming nutritious food including fresh and green vegetables from my kitchen garden,”

Mirzadi happily expressed.

“Kitchen Garden has proven to be very useful for our family as it has ensured a greater degree of self-sufficiency. Though my grandsons and granddaughters are living separately, I send them freshly grown vegetables from my garden to ensure their healthy diet as well.”

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Photo credit: www.bbc.com

Food insecurity, scarcity of water, drought and malnutrition remains a continuous threat for the lives and livelihoods of the people of Tharparkar district. Precious human lives have been lost and livelihoods stolen. The impact of these adversities may further escalate if timely action is not taken to control the situation.

According to  the local health department, eleven more children have died in Thar’s hospitals, during the past four days due to an outbreak of waterborne diseases and malnutrition. Since January this year over 172 infants have died in the district.

Dozens of unwell children were brought to six health facilities of the Thar district on Wednesday. Their parents complained of a lack of facilities in the hospitals to timely treat their children and unavailability of healthcare units in their remote villages.

They alleged that most of the dispensaries and basic health units in their villages  remained closed. Despite repeated attempts, no health official representing these health facilities were available to share their version of the story.

Since Justice Saqib Nisar, Chief Justice of Pakistan, has taken suo moto notice of the increasing number of infant deaths reported at the Civil Hospital in Mithi this April, the district health officials have stopped sharing details of the deaths of infants with the media.

Health and nutrition experts and rights’ activists working in the desert area of Thar have raised a dire need of nutritional provision and safe drinking water in the region to prevent further deaths.

They stated that the situation in the rain-dependent region have assumed alarming proportions due to increasing temperatures and delayed monsoon rainfall.

Community World Service Asia Response: Community World Service is in contact with local partners in Tharparkar for information on the ground and will plan a response accordingly.

Contacts:

Dennis Joseph
Associate Director – Disaster Management Program
Email: dennis.joseph@communityworldservice.asia
Cell: +92 300 855 7414

Palwashay Arbab
Head of Communications
Email: palwashay.arbab@communityworldservice.asia
Ph: +92 42 3586 5338

Sources: www.dawn.com

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Photo credit: http://www.aljazeera.com

Widespread flooding and devastating mudslides brought on by Cyclone Mora and monsoon rains across southwestern portion of Sri Lanka have affected 15 districts, killed at least 203 people and left more than 600,000 people temporarily homeless.

The death toll is expected to rise as authorities’ battle to rescue those still stranded and warn of the possibility of crocodile attacks. The UN warned that with an increasing number of displaced people and a lack of space in temporary shelters, many people were at risk of disease.

Sri Lanka has seen a significant increase in mosquito-borne dengue fever this year, with more than 125 deaths.

Al Jazeera’s Charles Stratford, reporting from Kalutara city, said residents were still without access to water and electricity and heavily reliant on voluntary services.

Foreign Minister, Ravi Karunanayake, met foreign envoys in Sri Lanka and appealed for assistance. He said 24 countries have already extended help.

The UN, India, Australia, Japan and Pakistan are among those that have donated supplies, including water purification tablets and tents. The United States and China also pledged relief. “In the capital, shops and supermarkets are running out of supplies as people are coming in and hoovering up items,” he said.

“While waters are receding in some areas, there are still some parts that are 10 to 12 feet under water.”

Foreign Minister Ravi Karunanayake said 16 countries had sent medicines and relief supplies to assist those driven from their homes.The Sri Lankan military is also doing all it can. Search-and-rescue operations are still ongoing. But residents are saying if it wasn’t for private organizations and people coming forward, the government and military would be finding it even harder to deal with this crisis

Mudslides have become common during Sri Lanka’s summer monsoon season as forests across the tropical nation have been cleared for export crops such as tea and rubber.

Community World Service Asia Response: Community World Service is in contact with the partners in Sri Lanka on getting the updated information on the latest situation. It is closely monitoring the crisis and will devise a response plan accordingly.

Contacts:

Karen Janjua
Senior Program Advisor
Regional Programs and Resource Mobilization
Email: karen.janjua@communityworldservice.asia
Ph: +92 51 230 7484

Palwashay Arbab
Head of Communications
Email: palwashay.arbab@communityworldservice.asia
Ph: +92 42 3586 5338

Sources:
www.aljazeera.com
www.cnn.com
www.cbc.ca

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Photo credit: http://www.aljazeera.com

An estimated 3,700 people were still trapped in Marawi, a municipality of 201,785 people in Lanao del Sur Province in Mindanao, on Thursday as clashes between government forces and members of the Abu Sayyaf and Maute group continued in the Islamic city, according to the International Committee of the Red Cross (ICRC), which is working to ensure their safe evacuation.

In Manila, ICRC Philippine delegation head Pascal Porchet told the Inquirer that the humanitarian aid group has been able to communicate with members and persons “close to” and “directly involved” with the Islamic State-linked fighters and the Philippine military, requesting safe passage for those still trapped in Marawi. “But the most important thing is, we are here to work hand in hand with the parties involved to ensure the safety and well-being of the people,” Porchet said. “We just hope the civilians will be able to flee safely, and will soon be rescued.”

As the violent clashes on 23rd May erupted, residents of Marawi soon evacuated in large groups to safe zones in surrounding areas, including Iligan City, Lanao del Norte, Cagayan de Oro and Misamis Oriental. Strict checkpoints by both Maute groups and government forces, long traffic lines and lost documentation has slowed the evacuation.

The fighting has made it difficult to reach areas where civilians had sought refuge but the ICRC said it was able to rescue 500 civilians following dialogues with those involved in the fighting, which left large patches of the city in ruins. “We are extremely concerned about the impact of the hostilities on the civilians. Our priority is to address the humanitarian needs of the affected people,” the ICRC said in a report. “We are seriously concerned about reports of civilians who were killed or deliberately targeted, or being held against their will. Civilians are not part of the fighting; they should be protected.”

Only 30,645 individuals or 6,129 families have taken shelter in evacuation centers in nearby cities such as Iligan and Cagayan de Oro and as far away as Davao City. Majority of the displaced have sought refuge in homes of relatives.

The latest information from OCHA and ARRM-Heart on 30th May indicate that estimated 90% of the population of Marawi City has been affected. Marawi residents have left the city without necessities, such as extra clothes, livelihood assets or basic hygiene items. It appears that the Christian community (who represent less than 20% in Marawi) has been particularly targeted by the Maute group.  Around 20 Christian civilians were killed when they tried to escape Marawi city at a Maute check point.

Unicef Philippines has called on involved parties in the Marawi conflict to ensure the safety and protection of children affected by the ongoing fighting there. Unicef estimates around 50,000 children have been affected by the conflict by being displaced within Marawi or to other cities in Lanao del Sur and Lanao del Norte; unable to return to their homes; or are in dire need of basic health and sanitation facilities. “We are deeply concerned about actions that may put children’s life and safety at risk and disrupts their overall development or access to basic social services such as education and health care. The estimated tens of thousands of children who, along with their families, have been displaced in and out of Marawi, could face severe long-term impact on their psycho-social health, their physical health as well as having their education disrupted,” warned Unicef Philippines Representative Lotta Sylwander.

As violence continues in Marawi City, there is uncertainty around when the displaced people will be able to return home, placing a serious strain on the resources and facilities available in evacuation centres (ECs) and on the capacity of the local government to accommodate the large influx of IDPs, particularly if the conflict intensifies further or expands.

President Rodrigo Duterte, who declared martial law on Mindanao Island, has approved the creation of a “peace corridor” to hasten the rescue of civilians and delivery of humanitarian aid for displaced people, said presidential spokesman Ernesto Abella.

He said the corridor will be implemented by the government and the main separatist group, the Moro Islamic Liberation Front, which has signed a peace agreement in exchange for Muslim autonomy in Mindanao, the southern third of the Philippines.

Community World Service Asia Response: Community World Service is in contact with local partners in Philippines on updated information on the ongoing conflict. It is closely monitoring and will devise its response plan accordingly.

Contacts:

Emmeline Managbang
Deputy Director
Disaster Management Program
Email: mae.manags@communityworldservice.asia
Ph +93 78 635 0703 / +63 908 102 1016

Palwashay Arbab
Head of Communications
Email: palwashay.arbab@communityworldservice.asia
Ph: +92 42 3586 5338

Sources:
http://www.aljazeera.com/news/2017/05/mindanao-churchgoers-hostage-marawi-siege-170524085829461.html
Start Network Alert – https://startnetwork.org
http://newsinfo.inquirer.net/901709/marawi-conflict-unicef-calls-for-efforts-to-keep-children-safe-protected
http://newsinfo.inquirer.net/901862/3700-still-trapped-in-marawi-city
http://www.philstar.com/headlines/2017/06/01/1705747/civilians-seek-food-water-marawi-clash-continues

 

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A walk was commenced to observe Health Day at Rural Health Center, Hyderfarm.

Community World Service Asia is provides medical care with a focus on maternal, neonatal and child health (MNCH) through supporting three Rural Health Centers (RHC) in Umerkot since 2015. These health centres provide healthcare to the most vulnerable communities affected by recurrent natural disasters, disease and poverty. The primary aim is to provide medical care through curative and preventive services while adopting a community-based approach by ensuring participation of village health committees and government health department.

The MNCH team organized World Health Day on 7th April at the RHCs in Umerkot in participation of a large number of community members from catchment area, government health staff of each RHC and professionals from NGOs and Civil Society Organizations. The main focus of the day was the topic of “Depression” which was the universal theme of this international day globally. Attention was also given to other more common health issues in the area such as heatstroke, diarrhea and anemia.

Depression is one of the many results of poor health, poverty, economic and social injustices and power imbalance prevalent in the rural society. The main purpose of celebrating this day was to raise common public awareness on various health issues and to sensitize the community and paramedic staff on mitigating the health problems common in the community through self-care and knowledge building.

Topics discussed on World Health Day in Umerkot:


  • To increase public awareness regarding various causes and preventive measures of depression

     


  • To provide detail knowledge of getting prevented from various diseases including diarrhea and missiles.

  • To encourage most vulnerable groups of people to frequently and regularly checkup the women during pregnancy in MNCH Centers.

  • To promote self-care among people of rural area.

  • To motivate the paramedic staff to make their efforts in providing health facility to vulnerable community of the catchment area of all three RHCs.

Medical Superintendents (MSs) of each health facility, health committee representatives, community activists and project staff gave orientations to the community members including men, women and children, on the major causes, prevention and mitigation of depression, heatstrokes and diarrhea. They imparted key messages on good health that aimed to enable men, women and children to lead healthy and productive lives and continue being of valuable existence in lives of their families and communities.

Rural healthcare lags in quality, affordability, and accessibility for several reasons. The main problem faced by health authorities in this regard is lack of awareness. One of the major reasons for such a deplorable state of health in these areas is the lack of health facilities. The establishment of health centers is ensuring better health and is supporting an improved standard of living for the people of rural Sindh.

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Photo credit: Dawn News

At least five hundred mud houses were destroyed when a fire broke out on the afternoon of May 10th, in village Vakrio near Islamkot town in Tharparkar district. The reported fire broke out due to a short circuit and immediately engulfed a thatched house in the village Vakrio. Due to strong winds, the fire spread to more than 500 thatched and cemented houses, reducing them all to ashes and rubble within minutes.

Luckily, at that time that the fire erupted, village residents were out working in the fields, saving them from the ravenous fire. Seven people from the village have however been reported injured. Most of the village livestock was also grazing in the fields at that time of the day, yet around 100 cattle have reported been killed in the fire.

Vakrio residents ran out their houses to save their lives, but did not have ample time to save their livestock or their belongings. All their ornaments, clothes, crockery, seeds stocks for next cultivation, stocks of fodder, food, were all burnt to ashes in front of their eyes.

The village residents all tried their best to extinguish the fire together by throwing barrels of water and sand on the blazing fire, but despite their efforts, they were not able to save the hundreds of homes. Only two hundred houses in the entire village were unharmed from the fire.

This is  the tenth such incident this year, on an average around three houses have been burned in each incident, but there has been no immediate solution to this recurring tragedy.

The people of Vakrio spent the night in the open land and appealed to relevant authorities and welfare departments to help them rebuild their houses and rehabilitate back to their usual life.

Emergency shelter kits, food package and nonfood items such as cooking utensils to cook their food are immediate requirements of the affected communities.

Community World Service Asia Response: Community World Service is in contact with local partners in the area on the updated information of the tragic event. It is closely monitoring and will devise its response plan accordingly.

Contacts:
Felix Dennis Joseph
Associate Director
Disaster Management Program
Email: dennis.joseph@communityworldservice.asia
Cell: +92 300 8557414

Palwashay Arbab
Head of Communications
Email: palwashay.arbab@communityworldservice.asia
Ph: +92 42 3586 5338

Sources: www.dawn.com

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Hasan of village Fazal Wadho, participant, expressed, “We were wasting valuable natural resources, but now I will utilize these resources for sustainable agriculture practices.”

An exposure visit of sixty farmers from Badin, Sindh, to the Central Cotton Research Institute, Agriculture Training Institute and Wheat Research Institute was conducted and facilitated in Sakrand last week of March under the Promoting Sustainable Agriculture Farming project supported by Canadian Foodgrains Bank (CFGB).

Mr. Muhammad Yousaf Channa, coordinator and senior Instructor for the Integrated Pest Management (IPM) unit at Agriculture Training Institute in Sakrand, facilitated the visit along with Community World Service Asia staff. The participants were welcomed by Dr. Abdul Waris Sanjrani, Director,Central Cotton Research Institute (CCRI).

The CCRI is engaged in multidisciplinary researches conducted in the field of Agronomy, Plant Breeding and Genetics, Cytogenetics, Entomology, Plant Pathology, Plant Physiology and a newly established section, Transfer of Technology. Since its inception, the Institute has successfully evolved considerable number of high yielding cotton varieties at required fiber qualities. Abdullah Keerio and Saira Bano, Scientific officers at the Institute, introduced production technology to the participants. Shah Nawaz Khoro, Senior Scientific Officer, explained Cotton Insect pests. A documentary was also screened showing the cotton production technology.

Abdul Wahab Soomro and Vishandas Suthar, also Scientific officers at the Institute, facilitated the participants through their visit of the greenhouse placed with parental genes of cotton plants imported from various countries for development of further progenies. The Glass house was another visiting site in the location where cotton cultivars were planted in winter in controlled environments to save the time required for evaluation of new variety. The participants were amazed to visit the Cold Room where decades old cotton seeds are preserved.

At the Agricultural Training Institute (ATI), the group of visiting farmers was welcomed by Dr. Ghulam Mustafa Jamali, Principal of the Institute (ATI). The farmers were briefed about the integrated crop and pest management process and systems by the coordinator at ATI and experienced new procedures of organic backyard gardening, compost making, optimum use of available waste resources for more productive plantation and innovative methods to measure soil moisture. At the Wheat Research Institute, Dr. Kareem Bux Lagari, briefed the participants regarding the varieties of wheat grown in experimental fields and demonstrated how different strains and wheat are developed. The farmers then visited the demonstration field where production technologies were functioning and lastly to the Wheat Museum where a large variety of wheat was on display.

The Sindhi farming community is very apprehensive about the current cropping season. They are looking for best suitable crop varieties in accordance to the soil composition and the changing climate. Previously they use to purchase any variety of plant to yield but these exposure visits have made the farmers more aware about seed selection and crop management as per changing seasons. Moreover, the farmers are now planning to use waste material for crop and vegetable production. One of the participant has already started making compost from the waste material and is planning to go for ridge sowing in the following wheat season to collect a good yield.

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The people of Sindh are likely to experience another wave of extreme heat for the third consecutive year – albeit 2 months earlier than in previous years –  as the mercury surged to unseasonably high temperatures on Monday, April 10, 2017.

The Met Office reported that Karachi would experience hot to very hot weather on Tuesday (today) and the maximum temperature would range at 42°C, with humidity, and a “real feel” averaging in at 44°C.    In view of the forecast, the mayor of Karachi announced setting up 12 centers in the city’s hospitals for heatstroke patients and the Provincial Disaster Management Authority (PDMA) is spearheading contingency plans across Sindh.

In other parts of the province, Sukkur, at 46°C, as well as Hyderabad and Nawabshah at 45°C are recorded among the hottest places in Sindh today.   Government officials fear that the coming three days would be highly critical and have ordered all hospitals across the province to be on high alert.

Weather forecasts for the coming 10 days indicate that temperatures are expected to soar even higher. In districts Tharparkar and Umerkot of Sindh, expected temperatures will be 44-45°C from the 12th through the 16th, accelerating to 47°C from the 17th through the 19th. Temperatures in Shaheed Benazirabad District (formerly Nawabshah) are predicted to increase to 45- 46°C from the 11th through the 14th, rising to 46 – 47°C from 15th through the 19th. Temperatures are predicted to begin to decrease steadily from the 20th through the rest of April.

When the human body’s core temperature exceeds 40 degrees Celsius it becomes very difficult for the body to cool itself.  This can lead to heat exhaustion, heat stroke — and often even death.   Young children, the elderly, persons with pre-existing conditions such as heart disease and diabetes, and, persons working outdoors are particularly vulnerable to heatstroke.  Women are more susceptible than men, and the obese are also more susceptible to heat exhaustion and heat stroke.   Contrary to popular belief, electric fans are more harmful than do good during periods of extreme heat, as blowing hot air decreases the body’s ability to cool itself.

A severe heat wave with temperatures as high as 49 °C (120 °F) struck southern Pakistan in June 2015, resulting in the deaths of more than 1,000 people from dehydration and heat stroke, mostly in Sindh province and its capital city, Karachi.  The heatwave also struck the same region in 2016; however, due to good coordination and anticipatory response, mitigation measures and awareness raising campaigns, few human lives were lost.

Community World Service Asia Response:

Community World Service is closely monitoring the situation through close contact with the local authorities and will react accordingly. Community World Service Asia provided preventive and curative support to people affected or at-risk of the heatwaves in 2015 and 2016.

Contacts:

Karen Janjua
Senior Program Advisor
Regional Programs and Resource Mobilization
Email: karen.janjua@communityworldservice.asia
Tel: +92 51 230 7484

Palwashay Arbab
Head of Communications
Email: palwashay.arbab@communityworldservice.asia
Tel: +92 42 3586 5338

Sources:
www.tribune.com.pk
www.dawn.com
www.accuweather.com/en/pk/pakistan-weather

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Health & Hygiene session in the catchment area of RHC Dhoronaro.

According to the Pakistan Demographic and Health Survey (PDHS), 2012-13, maternal and child death remains a major concern in Pakistan. In the provincial public sector, health services are provided through a tiered referral system of health care facilities; with increasing levels of complexity and coverage from primary, to secondary and tertiary health services. Primary care facilities include Basic Health Units (BHUs), Rural Health Centres (RHCs), Government Rural Dispensaries (GRDs), Mother and Child Health (MCH) Centres and TB centres. Most of these public health facilities lack the provision of a broader range of preventive and curative health services.

Community World Service Asia conducted a baseline survey in first year (2015) of its health project inception in Umerkot and these are the major findings of the study:

  • Very few, small private clinics operational in some villages of the targeted Union Councils. These clinics are not affordable for most of the community members (selected in the sample size) as they have low monthly incomes, with an average of only PKR 8733
  • According to 91.7% of the respondents, there are no antenatal services. 99% of respondents replied that there are no postnatal services. 5% reported the absence of delivery services whereas 96.1% reported the absence of family planning services
  • 100% of respondents replied that there are no women medical officers available at the health facility, whereas, 76.5 % reported the absence of Lady Health Visitors (LHVs) in the health facility. A 99.5% and 81.4% responded positively to the presence of male doctors and Medical Technician (MT) respectively
  • 5% respondents raised the need for a presence of medical staff to improve health services in the area
  • 8% respondents raised the need for provision of essential medicines, whereas 37% believed that the provision of 24 hours emergency services were essential to improve the quality of services
  • 2% of the respondents believed better infrastructure and cleanliness of health facilities were key to further improving the overall health services of the area

What is the project doing?

After analysing the results of the baseline survey, three Rural Health Centres (RHCs) were set up by Community World Service Asia, with the support of Act for Peace. All three of these RHCs are functioning with a focus on delivering primary healthcare services in the district of Umerkot.

The health facilities established, have deployed Female Medical Officers (FMOs), LHVs and Medical Technicians in their centres at Hyderfarm and Nabisar Road along with providing medicines. In RHC Dhoronaro, a lady doctor sits in shifts and rotationally visits the centre as well.

The social mobilizers, under the project, have formed two Health Committees in addition to the existing six committees formed last year. An advocacy forum has also been developed at district level to address emerging health issues. The village Health Committees and advocacy forum consists of eight to ten members including both men and women activists from the community, who are responsible to facilitate and support health services provided under the project. The village Health Committees meet monthly, with facilitation of the community mobilizers, and share their committees’ progress, problems and challenges and plan for the next month. A total of eight village Health Committees and a district health advocacy forum are running actively and meet regularly at the health facility. They conduct joint meetings in the villages on a fortnightly or monthly basis to discuss the pertaining issues regarding health and other community based problems. These meetings are properly documented and shared with the project management team. The discussions of these meetings are recorded for further planning, improvement and implementation of the project activities.

Clinical support is also given at these curative and preventive RHCs with focus to Maternal, Newborn and Child Health (MNCH) services. These services are delivered by women health staff comprising of FMOs and LHVs along with two medical technicians and one male and one female social mobilizers. The main focus of the services is on reproductive health of women of childbearing age.

Recognizing maternal, neonatal and child health care as a major component of the health services, the project team provides antenatal and postnatal assistance to local women.  Complicated cases are referred to the secondary level health care facilities in the area. The MNCH services at the RHC focus on continuum of care including family planning, pre-pregnancy, pregnancy, labour and childbirth, postpartum, newborn care, and child health and support high-impact, evidence-based interventions that saves lives.

Health education sessions are being conducted for men, women and children at the health facilities, in the surrounding villages of each RHC and at schools. Major topics on health education, such as Personal Hygiene, Family Planning, Reproductive Health, Hepatitis, HIV/AIDS awareness, Importance of Breastfeeding and Safe Drinking Water, with emphasis to prevalence of the disease, have been included in the IEC materials developed for building the knowledge of the communities.  Through general OPD, patients are treated and facilitated along with being provided necessary medicines.

The project team assessed the nutritional status of women and children under five, of all the three RHCs, through analysing their medical history, physical examination, and height to weight balance and various other parameters. The patients are then referred accordingly to different NGOs, providing nutritional care, based in the district. More complicated cases are referred to District Headquarter Hospitals of Umerkot and Mirpurkhas. Counselling sessions to malnourished, lactating and pregnant women are also provided. Children under the age of five are facilitated with de-worming medicines and family planning services are being provided to women by LHVs across the three healthcare facilities. The LHVs brief the women from these communities on the importance and benefits of family planning and the various, free of cost methods available for family planning at the health facilities.

What have we achieved so far?

The availability of services such as primary care, behavioural health, emergency, and public health services are a basic human right which must be provided to all. The project has worked towards providing this basic right and has achieved the following so far:

  • 12,156 community members provided with curative and preventive healthcare services
  • 11,307 individual have participated in health education sessions
  • 2,414 women provided with antenatal and postnatal services
  • 868 individuals have availed family planning services
  • 5,426 women and children were assessed for nutritional balance
  • 42 baby deliveries conducted at the health facilities
  • 25 delivery kits were provided to women as per criteria
  • Participation in seven coordination meetings with line departments, other NGOs and civil society organizations working at district level.

Community World Service Asia is implementing the project through its own staff, including two lady doctors, three LHVs, two Medical Technicians, two community mobilizers and a manager located in Umerkot. They are implementing the project with equally involving the Health Committees and District Advocacy Forum. The health team continues to maintain regular dialogue with the government line departments at the Federal, Provincial and District levels to ensure the efficacy and implementation of the program. Regular coordination meetings are held between key, district stakeholders including NGOs and civil society organizations.

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